Councillor standards complaint form

This form can be used to make a complaint about a District, Town or Parish Councillor in Breckland.

Please read the guidance notes before completing the form.
Fields marked with * are required
Your Details
1. Please provide us with your name and contact details
2. Title*
3. Name*
4. Contact telephone number*
5. Email Address*
6. Your address and contact details will not usually be released unless necessary or to deal with your complaint.
  
  However if your complaint is referred for assessment, we will tell the following people that you have made this complaint:
  - the Councillor(s) you are complaining about
  - the relevant Parish or Town Clerk (if applicable)
  - the Independent Person
  - Panel Members assigned to form a Hearing Panel (if applicable)
  We will tell them your name and give them the details of your complaint where necessary and appropriate to be able to deal with it. If you have serious concerns about the release of your name and a summary, or details of your complaint, please complete the confidentiality section of this form.
7. Please enter your address postcode and click on 'Find Address'. Then click on the drop-down arrow on the address box and choose the correct address.
  
  If you do not know the site postcode or your address is not shown, please enter the address manually.
8. Postcode:
10. Address:
11. Address 1*
12. Address 2
13. Town*
14. Postcode*
15. Are you completing this form on behalf of someone else?*
  
  Yes
  
  No
16. Assisted service details
  1. In what capacity are you completing this form?
    
    Family
    
    Friend
    
    Carer
    
    Other professional
    
    Contact Centre Staff
  2. Name of person completing this online form
  3. Email of person completing this form
  4. Please provide your job role

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Councillor standards complaint form

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Councillor standards complaint form

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